About The Position

Appalachian Behavioral Healthcare (ABH) is seeking an experienced Business Administrator to oversee critical business, fiscal, and operational functions in a hospital environment. Under the direction of the Chief Executive Officer, the role plans, directs, monitors, and coordinates ABH’s business and financial operations. It supports financial integrity, regulatory compliance, efficient operations, and quality patient care, and serves as an advisor to executive leadership on fiscal matters. The Business Administrator also serves as backup to the Chief Operating Officer when needed. Responsibilities include developing and reconciling budgets, preparing financial documentation and reports, managing internal funds and Business Office operations, conducting audits, overseeing compliance and risk management, and collaborating with internal and external stakeholders. The position represents ABH on committees and special projects and supports contract compliance and payment processes with external partners.

Requirements

  • One of the following qualification paths: five years of training or experience in accounting and auditing or business management, plus 12 months of training or experience in supervisory principles and techniques; completion of undergraduate core coursework in accounting or business management, plus three years of experience in accounting or business management and 12 months of training or experience in supervisory principles and techniques; 12 months of experience as a Business Administrator 2 (63316); or equivalent qualifications.
  • Official transcripts are required for post-secondary education, coursework, or degrees listed on the application and must be submitted before a formal employment offer.
  • The selected candidate must undergo a criminal background check.

Responsibilities

  • Develop, monitor, and reconcile inpatient operations budgets in accordance with Uniform Cost Report standards.
  • Assist with developing and preparing budgets for presentation to the Governing Board.
  • Prepare Uniform Financial Management System documentation and financial reports.
  • Analyze financial performance and recommend operational improvements and corrective actions.
  • Gather, compile, and present fiscal data and special reports for organizational decision-making.
  • Advise leadership on fiscal planning, budgeting, and resource allocation.
  • Manage fiscal operations for the Office of Internal Funds.
  • Ensure complete, accurate, and timely accounting of patient and organizational funds.
  • Maintain accountability for petty cash, industrial and entertainment funds, patient accounts, and voucher transactions.
  • Process and monitor business transactions for accuracy and compliance.
  • Coordinate and oversee the Business Office Accounting Control Program.
  • Assign, monitor, and evaluate Business Office workflows and responsibilities.
  • Conduct internal audits for compliance with state and federal laws, hospital policies, Department of Behavioral Health requirements, Joint Commission standards, and Medicare/Medicaid regulations.
  • Review patient account records and financial transactions for accuracy and validity.
  • Monitor patient disbursement activities, including payroll, purchasing, and payment systems.
  • Ensure compliance with record retention and destruction requirements.
  • Identify potential operational, financial, or environmental risks and report concerns appropriately.
  • Liaise with county boards, treasurers, private organizations, and local, state, and federal agencies.
  • Support contract compliance and payment processes with external partners.
  • Attend leadership meetings and provide guidance on fiscal and operational matters.
  • Represent ABH on committees, governing bodies, and special projects.
  • Respond to inquiries regarding fiscal operations and Business Office functions.
  • Serve as backup to the Chief Operating Officer when needed.

Benefits

  • Medical coverage
  • Free dental, vision, and basic life insurance premiums after completion of the eligibility period
  • Paid time off, including vacation, personal, and sick leave, plus 11 paid holidays per year
  • Childbirth, adoption, and foster care leave
  • Education and development opportunities, including employee development funds and Public Service Loan Forgiveness
  • Public retirement systems, including OPERS, STRS, SERS, and HPRS
  • Optional deferred compensation through Ohio Deferred Compensation
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